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DSH150074BN Community Health Network, Inc. (Active)
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Main Details
Name
Community Health Network, Inc.
Subdivision Name
Community Cancer Center North / Radiation
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH150074BN
Medicare Provider Number
150074
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
4/12/2017
Participating Start Date
7/1/2017
Participating Approval Date
4/28/2017
Last Recertification Date
8/12/2024
Contacts
Authorizing Official
Community Health Network
Beth Tharp, SVP/President of Hospital Services
(765) 298-5125
Primary Contact
Community Health Network
Tyler Barnes, Director, 340B and Strategic Pharmacy Revenue
(765) 432-8828
Addresses
Street Address
7979 N. Shadeland Ave
100
Indianapolis, IN 46250
Billing Address
Community Hospitals of Indiana, Inc
7979 N. Shadeland Ave
200
Indianapolis, IN 46250
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
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